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Billing code 41150: Composite resectionMedicare rate & RVUs

Reports a composite operation removing involved tongue, floor-of-mouth tissue, and mandible, without radical neck dissection, commonly for extensive oral cavity cancer.

CMS RVU26DEffective Oct 1, 2026109 payment localities523 Medicare services in 2024

Medicare pays $1,942.26 for 41150 nationally in a facility.

Medicare rate · 41150

Composite resection

Work RVUs
29.11
Total RVUs
58.15
Global days
090

National rate · 2026

$1,942.26

Facility setting, before claim adjustments.

See every locality for 41150 →Billed by an NP, PA or therapist? →

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

On this page 10 sections
  1. Medicare rate
  2. What 41150 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 41150 covers

This code describes a composite oral cavity resection that removes involved tongue tissue together with the floor of the mouth and part of the mandible. Head and neck surgeons, including otolaryngologists and oral and maxillofacial surgeons, commonly perform it for extensive cancers involving these connected structures. The operative report should establish the extent and combination of tissue removed; an isolated tongue resection or a lesion excision does not represent this composite procedure.

Report 41150 when the documented operation includes the tongue, floor of mouth, and mandible and is performed without radical neck dissection. The operative note should identify the resected structures and clarify the neck procedure, if any; radical neck dissection changes the applicable composite code. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is inappropriate. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

Where 41150 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

41150 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$1,776.53
Alaska*Unavailable$2,417.47
ArizonaUnavailable$1,895.93
ArkansasUnavailable$1,755.98
AtlantaUnavailable$1,987.33
AustinUnavailable$1,975.70
BakersfieldUnavailable$1,983.74
Baltimore/Surr. CntysUnavailable$2,052.24
BeaumontUnavailable$1,857.70
BrazoriaUnavailable$1,910.94

41150 rates by state

Office rate range in each state. Select a state to see its payment localities.

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
41150 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 41150 rate is calculated

Each of 41150’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 41150

RVUs × geographic indexes × conversion factor

Work29.11

29.11 RVUs× 1.000 GPCI

Practice expense24.73

24.73 RVUs× 1.000 GPCI

Malpractice4.31

4.31 RVUs× 1.000 GPCI

Adjusted RVUs

58.1500

Conversion factor

$33.4009

Medicare rate

$1,942.26

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 41150

41150 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 41150

Composite resection

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.09/0.81/0.10Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 41150

Composite resection

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

41150 without 51 · national facility

$1,942.26

Composite resection

41150-51 · Second procedure: 50%

$971.13

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

41150 compared with similar codes

Compare codes · National

5 codes, side by side

  • 41150

    Composite resection29.11 wRVU

    Not priced

  • 41153

    Floor-of-mouth resection32.75 wRVU

    Not priced

  • 41155

    Composite resection43.19 wRVU

    Not priced

  • 41135

    Tongue and neck surgery29.39 wRVU

    Not priced

  • 41130

    Tongue resection15.35 wRVU

    Not priced

How to choose

41153Floor-of-mouth resection
This composite operation includes unilateral radical neck dissection. 41150 is for the composite tongue, floor-of-mouth, and mandibular resection without radical neck dissection.
41155Composite resection
This composite operation includes bilateral radical neck dissection; 41150 describes the composite resection without radical neck dissection.
41135Tongue and neck surgery
41135 is for complete or total glossectomy without the specified composite floor-of-mouth and mandibular resection. Choose based on the structures actually removed.
41130Tongue resection
41130 describes hemiglossectomy, not the composite resection of tongue, floor of mouth, and mandible represented by 41150.

Codes related to 41150

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 41150
CodeHow it relatesNational office range
Same family
41153Floor-of-mouth resectionComposite tongue, floor-of-mouth, and mandible resection with unilateral radical neck dissection.No office rate
41155Composite resectionComposite tongue, floor-of-mouth, and mandible resection with bilateral radical neck dissection.No office rate
Used instead
41130Tongue resectionHemiglossectomy applies when the resection is limited to half the tongue rather than a composite oral cavity resection.No office rate
41135Tongue and neck surgeryFor complete or total glossectomy without the composite floor-of-mouth and mandibular resection.No office rate

41150 billing questions

When is 41150 appropriate instead of a tongue-only resection code?

Use 41150 for the composite removal involving tongue, floor of mouth, and mandible. A tongue-only resection does not meet that extent.

Does 41150 include radical neck dissection?

No. This code represents the composite resection without radical neck dissection; use the applicable composite code when radical neck dissection is performed.

Can modifier 50 be reported for this procedure?

No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this procedure.

What documentation supports reporting 41150?

The operative report should identify the tongue, floor-of-mouth, and mandibular resection, and describe whether a radical neck dissection was performed.

How does the 90-day global period affect postoperative billing?

The day-before preoperative visit and related postoperative care for 90 days are included in the global period.

May an assistant or co-surgeon be reported?

Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is not permitted.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 41150PPRRVU2026_Oct_nonQPP.csv, line 4,910 (RVU26D)

Open CMS sourceHow we calculate rates

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